FORM 1023-EZ for APIVEO LEADERSHIP INC

Field Data
EIN 47-3273838
Case Number EO-2015064-000178
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name APIVEO LEADERSHIP INC
Organization’s Mailing Address 309 ROUNDSTONE ROCK
City TYRONE
State GA
ZIP 30290
Accounting period End 12
Primary contact name BRAD JUBIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRADFORD JUBIN
EXECUTIVE DIRECTOR
309 ROUNDSTONE ROCK
TYRONE GA 30290

Officer/Director/Trustee Two

MARK GRAY
BOARD MEMBER
205 ALEXANDER WARE
FAYETTEVILLE GA 30215

Officer/Director/Trustee Three

LARRY SMITH
BOARD MEMBER
111 REGENT SQ
PEACHTREE CITY GA 30269

Officer/Director/Trustee Four

MICHAEL HOBBS
BOARD MEMBER
2 HARRIS GLN NW
ATLANTA GA 30327

Officer/Director/Trustee Five

THOMAS CRYMES
BOARD MEMBER
45 DEMARET DR
SHARPSBURG GA 30277

Organization’s website WWW.APIVEO.COM
Organization’s email BRAD@JUBINCRE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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